Patient Protection and Affordable Care Act (ACA) generally requires group
health plans to cover certain preventive care benefits at 100% with no
items or services with a rating of “A” or “B” under recommendations from the
United States Preventive Services Task Force (USPSTF) [http://www.uspreventiveservicestaskforce.org/Page/Name/uspstf-a-and-b-recommendations-by-date/];
recommended by the Advisory Committee on Immunization Practices (ACIP) of the Centers
for Disease Control [http://www.cdc.gov/vaccines/schedules/hcp/index.html];
care and screenings for infants, children, and adolescents under Health
Resources and Services Administration (HRSA) guidelines [https://www.aap.org/en-us/professional-resources/practice-support/Pages/PeriodicitySchedule.aspx];
care and screenings for women under HRSA guidelines [http://www.hrsa.gov/womensguidelines/].
§ 2713(a); 29 CFR § 2590.715-2713(a).
Experts from Groom Law Group answer some common
questions about these requirements and outline recent guidance that plans
should consider for 2016.